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Arthroscopic bankart repair vs conservative management for first-time traumatic anterior shoulder instability - A systematic review & meta-analysis

Arthroscopy May 15, 2020

Hurley ET, Manjunath AK, Bloom DA, et al. - A systematic review & meta-analysis were performed to compare arthroscopic Bankart repair vs conservative management for first-time anterior shoulder dislocation.Ten prospective studies with 569 patients were included. Researchers included ten prospective studies recruiting a total of 569 patients. They carried out to search MEDLINE, EMBASE and The Cochrane Library, based on the PRISMA guidelines. They included prospective studies comparing arthroscopic Bankart repair vs conservative management as treatment for first-time anterior shoulder dislocation. They compared recurrence, further treatment, and return to play, with all statistical analysis conducted applying Review Manager Version 5.3. The results showed that compared with conservative management, arthroscopic Bankart repair resulted in a 7-fold lower recurrence rate and a higher rate of return to play. Therefore, arthroscopic Bankart repair may be advisable to conduct routinely for first-time dislocators who participate in sports.

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